| Legacy Physical Therapy & Sports Training | |
|
4134 Gulf Of Mexico Dr, Suite 209, Longboat Key, FL 34228-2612 | |
| (941) 383-0414 | |
| (941) 383-0120 |
| Full Name | Legacy Physical Therapy & Sports Training |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4134 Gulf Of Mexico Dr, Longboat Key, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235183021 | NPI | - | NPPES |
| 2989794 | Other | FL | AETNA GROUP PROVIDER NUM |
| 888322000 | Medicaid | FL | |
| Y919H | Other | FL | BCBS FACILITY NUMBER |
| DB5339 | Other | RAIL ROAD GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Physical Therapy & Sports Training Po Box 1156, Ellenton, FL 34222-1156 Ph: (941) 729-0003 | Legacy Physical Therapy & Sports Training 4134 Gulf Of Mexico Dr, Suite 209, Longboat Key, FL 34228-2612 Ph: (941) 383-0414 |
Kim Channing Dahlby, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4134 Gulf Of Mexico Dr, Unit 209, Longboat Key, FL 34228 Phone: 941-383-0120 Fax: 941-383-0414 | |
Motus Healthcare Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4134 Gulf Of Mexico Dr, Unit 209, Longboat Key, FL 34228 Phone: 941-383-0414 Fax: 941-383-0120 | |
Mr. Richard A Green, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5350 Gulf Of Mexico Drive, Suite 205, Longboat Key, FL 34228 Phone: 941-387-8450 Fax: 941-387-9718 | |
Key Rehab Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5350 Gulf Of Mexico Drive, Suite 205, Longboat Key, FL 34228 Phone: 941-387-8450 Fax: 941-387-9718 | |
Tonya Sue Badenhorst, PT, ATC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4134 Gulf Of Mexico Dr, Suite 209, Longboat Key, FL 34228 Phone: 941-383-0414 Fax: 941-383-0120 | |
Andrew T. Elton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5370 Gulf Of Mexico Dr, Suite 204a, Longboat Key, FL 34228 Phone: 941-209-3999 Fax: 941-210-3235 |